Individual
MIAH MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
6500 SUNSET GARDENS RD SW, ALBUQUERQUE, NM 87121-3245
(505) 836-0288
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF7204
NM
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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